Workers Compensation Claims Specialist

The Liberty Mutual Foundation; Lake Oswego (OR); On-site; USD 52,000 - 72,000; Full time

Job summary

The Liberty Mutual Foundation is seeking a Workers Compensation Claims Specialist to manage a caseload of claims. The role involves evaluating claims, making liability decisions, and negotiating settlements, along with a rigorous training program to enhance service skills. Candidates with a BS/BA degree and 1-2 years of relevant experience are preferred.

Benefits

Comprehensive benefits

Continuous learning opportunities

Qualifications

• Minimum 1-2 years’ experience in claims adjustment, general insurance or formal claims training.
• Required to obtain and maintain all applicable licenses.
• Continuing education preferred for industry certifications.

Responsibilities

• Manages claims inventory and evaluates compensability/liability.
• Plans investigations to confirm coverage and determines liability.
• Conducts negotiations to settle claims within assigned authority limits.

Skills

Claims investigation techniques

Knowledge of medical terminology

Negotiation skills

Education

BS/BA degree or equivalent work experience

Job description

Description

The Workers Compensation Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements. The role interacts with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claim’s management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers.

We are open to fill this position as an Associate Claims Specialist I (grade 10) or Claims Specialist I (grade 11), or Claims Specialist II (grade 12) depending on candidate experience.

We prefer candidates from Connecticut, Maine, New Hampshire, Rhode Island, Vermont, New Jersey, New York, Pennsylvania, Massachusetts. If you do live within 50 miles of Westborough, MA claims office, you will be required to go into the office twice per month.

Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory.

Training will require travel for 1 week to our office in Plano, TX in September.

Responsibilities:

• Manages an inventory of claims to evaluate compensability/liability.
• Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
• Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages.
• Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate.
• Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
• Performs other duties as assigned.

Qualifications

• BS/BA degree or equivalent work experience.
• Minimum of 1-2 years’ experience in claims adjustment, general insurance or formal claims training.
• Required to obtain and maintain all applicable licenses.
• Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU).
• Knowledge of claims investigation techniques, medical terminology and legal aspects of claims preferred.
• Ability to travel for 1 week during training to our Plano, TX office

About Us

Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.

As a purpose-driven organization, Liberty Mutual is committed to fostering an environment where employees from all backgrounds can build long and meaningful careers. Through strong relationships, comprehensive benefits and continuous learning opportunities, we seek to create an environment where employees can succeed, both professionally and personally.

At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care, we help people embrace today and confidently pursue tomorrow.

We are dedicated to fostering an inclusive environment where employees from all backgrounds can build long and meaningful careers. By actively seeking employee feedback and amplifying the voices of our seven Employee Resource Groups (ERGs), which are open to all, we create an environment where every individual can make a meaningful impact so we continue to meet the evolving needs of our customers.

We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://LMI.co/Benefits

Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.

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